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1720788706
ALEX ETZENHOUSER
DELTA, CO
NPI
1720788706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0015265)
Enumeration Date
2023-03-07
Last Update Date
2023-03-07
Business Address
ALEX ETZENHOUSER PTA
257 COTTONWOOD ST
DELTA, CO 81416-4400
Phone number: 970-874-6111
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Mailing Address
ALEX ETZENHOUSER PTA
PO BOX 540640
NORTH SALT LAKE, UT 84054-0640
Phone number: 801-987-8600
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